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Connecticut Medicaid (HUSKY Health)Medicaid · Reimbursement · Reimbursement · CT · OB-GYN, Family Medicine, Internal MedicineMedium impact

2025.68 - Updates to the Reimbursement Rate for Select Long-Acting Reversible Contraceptive Devices

Act
by Jan 1, 2026
Effective date
Jan 1, 2026
Identified
Jun 20, 2026

Summary

Connecticut Medicaid (CMAP) has updated reimbursement rates for two long-acting reversible contraceptive devices effective January 1, 2026. The ParaGard copper IUD (J7300) will be reimbursed at $1,187.00 and the etonogestrel implant (J7307) at $1,275.36.

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What to do

by Jan 1, 2026 · 3 steps
01Billing team must update fee schedules in billing system for Connecticut Medicaid patients to reflect new rates - J7300 (ParaGard) to $1,187.00 and J7307 (etonogestrel implant) to $1,275.36.
02FQHCs should verify separate reimbursement setup from encounter rates.
03Hospitals must confirm use of physician office/outpatient fee schedule rates.

Codes mentioned

J7300J7307

Original notice

2025.68 - Updates to the Reimbursement Rate for Select Long-Acting Reversible Contraceptive Devices
ctdssmap.com · Always check the source before changing claims.
View original ↗

Related changes

See all Connecticut Medicaid (HUSKY Health) changes →
2024.83 - Provider Bulletin - Changes for Billing Long-Acting Reversible Contraceptive Devices in the Medical FQHC SettingHighEffective Jan 1, 2025 · Provider Bulletin22023.71 Provider Bulletin - January 2024 Quarterly Updates - Physician - Office - Surgery & Outpatient Fee Schedules pdfMediumEffective Jan 1, 2024 · Provider Bulletin2024.05 - Provider Bulletin Updated Rates for Manually Priced Procedure Codes & Contraceptive Devices PDFMediumEffective Feb 1, 2024 · Reimbursement2024.82 - Provider Bulletin - Updates to the Reimbursement Rate for Select Long-Acting Reversible Contraceptive DeviceMediumEffective Jan 2, 2025 · ReimbursementBrowse every Connecticut Medicaid (HUSKY Health) change in the policy list

Related policy hubs

Connecticut Medicaid (HUSKY Health) policiesCT policy changesOB-GYNFamily MedicineInternal MedicineCode J7300Code J7307

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